Robertson, Jessica Ellen

Robertson, Jessica Ellen is an sole proprietor health care provider with primary practice located at 2130 Government St Ste A , Ocean Springs MS 39564-3937. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Robertson, Jessica Ellen can be contacted via phone (228) 382-3107.

Contact Information

Primary practice address
2130 Government St Ste A Ocean Springs MS 39564-3937
Phone: (228) 382-3107
Fax: (800) 854-0906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0437 Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1447340161
LBN Legal business name Robertson, Jessica Ellen
Credentials M.S., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated May 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447340161 NPPES
Mississippi MEDICAID 00018214

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